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Organization

MOUNT EAGLE HEALTH CARE-THOMASVILLE,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WEMA SALOME CHAGULA (MEMBER,OWNER)
(336) 287-6169
Entity
Organization

Contact information

Practice address
14 W MAIN ST, SUITE 203, THOMASVILLE, NC 27360-3935
(336) 287-6169
Mailing address
14 W MAIN ST, SUITE 203, THOMASVILLE, NC 27360-3935
(336) 287-6169

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4420
NC
251F00000X
Home Infusion Agency
HC4420
NC
251J00000X
Nursing Care Agency
HC4420
NC
251S00000X
Community/Behavioral Health Agency
HC4420
NC
253Z00000X
In Home Supportive Care Agency
HC4420
NC

Other

Enumeration date
10/16/2015
Last updated
10/16/2015
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